the new rural cooperative medical system (NCMS) has been widely spread in Shunyi District, but there are still some problems in the process of extension, such as serious shortage of rural medical resources, poor medical conditions, few medical equipment and low level of rural medical treatment. In order to implement the new rural cooperative medical system (NCMS) in Shunyi District and ensure the effectiveness of NCMS, it is necessary to analyze and solve the problems in the implementation of NCMS.